State-based marketplaces created under the Affordable Care Act are contemplating their financial sustainability now that federal grant dollars are no longer available. In their latest blog post for the Commonwealth Fund, CHIR researchers examine the range of state approaches to generating revenue and trimming budgets.
Narrow network plans were common on the health insurance marketplaces in 2014. In a new issue brief for The Commonwealth Fund, CHIR researchers examine the standards states had in place to regulate plans’ provider networks in the first year of marketplace coverage and describe how states revisited their rules for year two.
While the ACA has successfully resulted in 16.4 million newly insured people, we don’t yet know a lot about how that new coverage is working for them. However, state consumer assistance programs (CAPs) have the eyes and ears on the ground to help identify problems or gaps in private insurance coverage. Georgetown researchers surveyed 10 state CAPs and found many common issues for consumers’ coverage experiences, pre- and post-ACA.
A recent conference hosted by the Robert Wood Johnson Foundation on health system transparency allowed a diverse group of stakeholders – state and federal regulators, an insurance industry executive, a provider, and CHIR’s own Sabrina Corlette to discuss how the emergence of narrow provider networks on the Affordable Care Act’s marketplaces has spotlighted deficiencies in the information available for consumers to make good plan choices. Sabrina Corlette shares some of the issues debated and discussed.
A recent briefing hosted by the Alliance for Health Reform and the Kaiser Family Foundation offered Congressional staff and stakeholders a primer on the Affordable Care Act. CHIR’s own Sabrina Corlette joined the panel of experts to walk people through the key private market provisions of this groundbreaking and controversial law.
More states are establishing new special enrollment opportunities to help people gain coverage through the marketplaces. In our latest video about timely health insurance topics, CHIR experts Sandy Ahn and Justin Giovannelli discuss how state-based and federal marketplaces have used special enrollment periods to boost enrollment,
With intense focus on enrollment in the Affordable Care Act marketplaces, enrollment through the Small Business Health Options Program (SHOP) has flown under the radar by comparison. In their latest blog post for the Commonwealth Fund, Kevin Lucia, Justin Giovannelli and Sean Miskell discuss early challenges for the SHOP as well as recent improvements.
The second open enrollment period (often called OE2) under the Affordable Care Act has come to its formal close. Our colleague at Georgetown’s Center for Children and Families, Tricia Brooks, provides her review of OE2 – and some tips on how the marketplaces could improve their performance for next year.
We’ve wrapped up the Affordable Care Act’s second open enrollment season and sign-ups exceeded expectations, in large part thanks to the hard work of navigators and assisters. As part of a Robert Wood Johnson Foundation-funded project, navigators in five states send us their toughest and most complicated cases. To help others facing similar issues, we’ve created a new compilation of our most frequently asked questions during open enrollment. The Georgetown technical assistance team shares it here.
Under the Affordable Care Act, new rules for counting household size and income for purposes of Medicaid and CHIP eligibility were aligned with the calculation of Marketplace subsidies. Following up on a primer she drafted on the basics of MAGI, our colleague at Georgetown’s Center for Children and Families, Tricia Brooks, drills down on income eligibility for Medicaid, CHIP, and premium tax credits.
The opinions expressed here are solely those of the individual blog post authors and do not represent the views of Georgetown University, the Center on Health Insurance Reforms, any organization that the author is affiliated with, or the opinions of any other author who publishes on this blog.
